Clinical & Coding Specialist - Senior responsible for reviewing coding and clinical decisions for complex cases. Supporting team training and audit processes at Independent Health in Buffalo, NY.
About the role
- Medical Coder handling clinical information extraction and coding in patient records. Collaborating with healthcare professionals and ensuring accuracy in medical coding compliance.
Responsibilities
- extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records
- confirms appropriate diagnosis related group (DRG) assignments
- Review and analyze patient medical records to identify accurate ICD-10-CM diagnosis codes
- Validate that documentation supports risk adjustment coding and HCC capture in compliance with regulatory guidelines
- Analyzes, enters and manipulates database
- Responds to or clarifies internal requests for medical information
- Decisions are regarding the daily priorities for an administrative work group and/or external vendors
Requirements
- Certified medical coder with one of the following certifications CPC, CPC-A, CPC-H or CPMA from AAPC or CCA, CCSP, or CCS from AHIMA
- ICD-10-CM coding knowledge
- Proficiency with computers, including Microsoft Outlook, Teams, Adobe and Office products
- Bachelor's Degree (preferred)
- 5 or more years of experience as a certified medical coder (preferred)
- Familiar working within a variety of electronic medical record systems (EMRs/EHRs) (preferred)
- Prior experience in a role requiring direct communication with physicians and other healthcare professionals (preferred)
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
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